| NPI | 1790186518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D ZELKO President 805-682-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G68357) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11178TG) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2023-06-26 |